Lone Tree Optometry, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

11228T Issued in CA

Legal business name

LONE TREE OPTOMETRY, INC.

Practice address

5113 Lone Tree Wy
Antioch, CA 94531-8484

Phone

(925) 778-1505

Fax

(925) 778-1648

NPI assigned

Mar 8, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Karen Kopiko, O.D.

Title

Partner

Phone

(925) 778-1505

Specialties & licenses 3

Addresses

Other names 1

• Lone Tree Vision Care Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407987001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5113 LONE TREE WY",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945318484",
            "telephone_number": "925-778-1505",
            "fax_number": "925-778-1648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5113 LONE TREE WY",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945318484",
            "telephone_number": "925-778-1505",
            "fax_number": "925-778-1648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONE TREE OPTOMETRY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOPIKO",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "925-778-1505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11256T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11228T",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11938T",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lone Tree Vision Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Davante Logan
• Alexxis Lomack
• Michelle Lomax, PPS
• Michele Lomelino Valencia, O.D.
• Lone Tree Convalescent Hospital, Inc.
• Lakita Denise Long, MS
• Longs Drug Stores California LLC
• Artiben Loomas
• Christian Looney
• Ayisha Lopes

• Optometrist in Antioch, CA
• Providers in Antioch, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.